CHARLES DREW HEALTH CENTER INC


Address: 1490 North 16th Street, Omaha, NE 68102-4118
Phone: 4023468401

CHARLES DREW HEALTH CENTER INC (NPI# 1932493822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932493822
Entity Type Organization
Organization Name CHARLES DREW HEALTH CENTER INC
Other Organization Name CHARLES DREW HEALTH CENTER AT CAMPUS FOR HOPE
Practice Address 1490 North 16th Street
Omaha
NE 68102-4118
Mailing Address Po Box 30019
2915 Grant Street
Omaha
NE 68103-1119
Practice Telephone 4023468401
Practice Fax Number 4024532061
Mailing Telephone 4024513553
Mailing Fax Number 4024571220
Enumeration Date 2011-06-08
Last Update Date 2016-10-03
Authorized Official Name MS. TARSHA DENISE JACKSON (CHIEF FINANCIAL OFFICER)
Authorized Official Telephone 4024571215
Is Organization Subpart Y
Parent Organization Name CHARLES DREW HEALTH CENTER INC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QC1500X Clinic/Center
Specialization: Community Health
NH Ambulatory Health Care Facilities
N 363LC1500X Nurse Practitioner
Specialization: Community Health
NE Physician Assistants & Advanced Practice Nursing Providers
N 363A00000X Physician Assistant NE Physician Assistants & Advanced Practice Nursing Providers
N 261QC1500X Clinic/Center
Specialization: Community Health
NE Ambulatory Health Care Facilities
Y 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
NE Ambulatory Health Care Facilities
N 101YM0800X Counselor
Specialization: Mental Health
NE Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NE 100260951-00 05

Other Provider/Organization Names

Other Name Type Code
Charles Drew Health Center at Campus For Hope Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1629530373 Charles Drew Health Center Inc Clinic/Center 5190 Sprague Plz Ste 201, Omaha, NE 68104-2891 2019-04-02
1154895225 Charles Drew Health Center Inc Clinic/Center 5319 N 30th St Ste A, Omaha, NE 68111-1604 2019-01-11
1649653551 Charles Drew Health Center Inc Clinic/Center 4320 Fort St, Omaha, NE 68111-1849 2015-07-09
1285090472 Charles Drew Health Center Inc Physician Assistant 1490 North 16th Street, Omaha, NE 68102-4118 2016-01-05

Office Location

Street Address 1490 NORTH 16TH STREET
City OMAHA
State NE
Zip Code 68102-4118

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285090472 Charles Drew Health Center Inc Physician Assistant 1490 North 16th Street, Omaha, NE 68102-4118 2016-01-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518580042 Niranzena Panneer Selvam Dentist 2109 Cuming Street, Omaha, NE 68102 2020-05-19
1912312323 Stephani Jo Dale Dentist 2901 Cuming Street, Omaha, NE 68102 2014-06-24
1578736864 Nebraska Urban Indian Health Coalition Community/Behavioral Health 2240 Landon Court, Omaha, NE 68102 2008-04-08
1609939826 Alana Louayne Decker Registered Nurse 1490 No 16th St, Omaha, NE 68102 2006-12-18
1831203645 Nicholas Joseph Battafarano Psychiatry & Neurology 1490 N 16th St, Omaha, NE 68102 2006-08-18
1831198902 Lori Ann Buckley Occupational Therapist 1219 Leavenworth St, Omaha, NE 68102 2005-07-20
1760019129 Catherine Nicole Cloetta Student in an Organized Health Care Education/Training Program Creighton University School of Dentistry, 2109 Cuming St., Omaha, NE 68102 2020-03-25
1841793189 Molly Ann Trevathan Specialist/Technologist 701 Florence Blvd, Omaha, NE 68102 2018-03-13
1265942106 Ashlyn Madden Eisenbrown Acupuncturist 1219 Leavenworth St, Omaha, NE 68102 2017-10-05
1417342676 Natural Therapy LLC Home Health 1219 Leavenworth St, Omaha, NE 68102 2015-04-03
Find all providers in zip 68102

Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023673282 Charles Drew Health Center, Inc. Clinic/Center 2120 N 30th St Ste 100, Omaha, NE 68111-3701 2019-05-03
1891359485 Oneworld Community Health Centers Inc Clinic/Center 2520 S 130th Ave, Omaha, NE 68144-2527 2019-04-29
1629530373 Charles Drew Health Center Inc Clinic/Center 5190 Sprague Plz Ste 201, Omaha, NE 68104-2891 2019-04-02
1154895225 Charles Drew Health Center Inc Clinic/Center 5319 N 30th St Ste A, Omaha, NE 68111-1604 2019-01-11
1144690074 Oneworld Community Health Centers, Inc. Clinic/Center 4310 S 24th St, Omaha, NE 68107-1805 2015-10-05
1285977660 Oneworld Community Health Centers, Inc. Clinic/Center 4700 Giles Rd, Omaha, NE 68157-2641 2013-04-03
1063725554 Oneworld Community Health Centers, Inc. Clinic/Center 3121 U St, Omaha, NE 68107-3378 2010-07-26
1942513494 Oneworld Community Health Centers, Inc. Clinic/Center 4215 S 20th St, Omaha, NE 68107 2010-07-26
1164735759 Oneworld Community Health Centers, Inc. Clinic/Center 2021 Saint Marys Ave, Omaha, NE 68102-2415 2010-07-23
1801372354 Oneworld Community Health Centers, Inc. Clinic/Center 4920 S 30th St Ste 103, Omaha, NE 68107-1656 2018-07-18
Find all providers in OMAHA

Competitor

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City OMAHA
Zip Code 68102

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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